In reply to Jason't query regarding field use of the LMA in difficult
intubations, it's use is most widespread in Australia. For further
references, please see my article on prehospital airway devices in the
Emergency Medicine: An On Line Textbook, edited by Scott Plantz
http://www.emedicine.com/emerg/index.shtml I have included a discussion
of the LMA with photos. Also, you can start with the following articles:
M. Dickinson, P. Curry. Training For The Use Of The Laryngeal Mask In
Emergency And Resuscitation Situations. Resuscitation 28 (2): 111-3,
J. Pennant, M Walker. Comparison of the Endotracheal Tube and the
Laryngeal Mask in Airway Management by Paramedical Personnel. Anesth
Analg. 74: 531-534, 1992.
D. Reinhart, G. Simmons. Comparison Of Placement Of The Laryngeal Mask
Airway With Endotracheal tube By Paramedics And Respiratory Therapists.
Annals of Emergency Medicine 24 (2): 260-3, August 1994.
M. Sasada, D. Gabbott. The Role Of The Laryngeal Mask Airway In
Pre-Hospital Care. Resuscitation 28 (2): 97-102, October 1994.
R. Winchell, D. Hoyt. Endotracheal Intubation In The Field Improves
Survival In Patients With Severe Head Injury. Archives of Surgery 132 (6):
592-597, June 1997.
Guy H. Haskell
Middle Eastern Studies
Atlanta, GA 30322
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